NPI | 1770211906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 210236) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 207L00000X) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-08-15 |
Last Update Date | 2022-10-31 |