NPI | 1841268489 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9430256) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55504) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-045677) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: MS R509566) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000011106) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-06-22 |