NPI | 1831262138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 031001) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 85109) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2016-11-22 |