NPI | 1841211331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 438171) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN233216L) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2018-07-17 |