NPI | 1811993496 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 362886) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 3628861) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2025-02-13 |