NPI | 1831450246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN16499) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN153797) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2023-10-26 |