NPI | 1851326912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127058) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA00938) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2020-10-26 |