NPI | 1801501432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1107916) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 914997) |
Enumeration Date | 2023-01-18 |
Last Update Date | 2023-04-24 |