NPI | 1770648578 |
---|---|
Other Name | JOSEPH HOWARD NICKERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA2569) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 499960RN) |
Enumeration Date | 2006-12-22 |
Last Update Date | 2022-05-16 |