NPI | 1831513175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R197720) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R197720) |
Enumeration Date | 2014-02-06 |
Last Update Date | 2014-03-26 |