NPI | 1750558243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC003011) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN527148L) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP92782992) | |
Enumeration Date | 2008-05-13 |
Last Update Date | 2020-03-26 |