NPI | 1841542313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4304) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 711820) |
Enumeration Date | 2012-10-09 |
Last Update Date | 2013-05-17 |