NPI | 1801065586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: HI 1528) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: HI 68159) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2019-02-03 |