NPI | 1801444807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 322559) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9349109) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NH 091032-23) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005404) | |
Enumeration Date | 2019-09-03 |
Last Update Date | 2025-04-29 |