NPI | 1730157595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.004185-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO RN-165502) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2019-10-23 |