NPI | 1760405641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 334458) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9431779) |
163WP0000X Registered Nurse, Pain Management (Licence: NY 334458) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2021-10-19 |