NPI | 1841222007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024157684) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN769232) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2024-10-08 |