NPI | 1750897989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9320854) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9320854) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9320854) | |
Enumeration Date | 2017-12-26 |
Last Update Date | 2024-08-16 |