NPI | 1780044024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1930) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 177339-4) |
Enumeration Date | 2016-02-29 |
Last Update Date | 2022-07-13 |