NPI | 1811320518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ15243300) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN556433) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2025-06-27 |