NPI | 1760543078 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV 842789) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 78091) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2006000260) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA203079) | |
Enumeration Date | 2006-12-12 |
Last Update Date | 2025-09-15 |