NPI | 1851387658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28188242A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 10310) |
Enumeration Date | 2005-09-27 |
Last Update Date | 2016-12-30 |