NPI | 1770911307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 532931) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 532931) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2016-05-25 |