NPI | 1851363790 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 537680) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 537680) |
Enumeration Date | 2006-02-05 |
Last Update Date | 2014-05-22 |