NPI | 1730195504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28150322A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN242094) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-08 |