NPI | 1811528557 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 086414-23) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 131785) |
Enumeration Date | 2020-01-31 |
Last Update Date | 2024-11-27 |