NPI | 1811744865 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2341370) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2341370) |
Enumeration Date | 2024-05-06 |
Last Update Date | 2024-06-17 |