NPI | 1801368576 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003267) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R093671) |
Enumeration Date | 2018-12-19 |
Last Update Date | 2023-09-11 |