NPI | 1760598908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA34) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-34) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2010-09-29 |