NPI | 1780325266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV 854154) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 167612) |
Enumeration Date | 2022-04-06 |
Last Update Date | 2024-07-18 |