NPI | 1811236862 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123232) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 827798) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2024-10-23 |