NPI | 1851144596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7435) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 286352) |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-05-13 |