NPI | 1821094046 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN 3072412) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT R40669) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-097045) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 690232) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA RN491358/NA2011) | |
Enumeration Date | 2005-06-22 |
Last Update Date | 2010-11-24 |