NPI | 1851531057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP05693) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 081948) |
Enumeration Date | 2009-02-27 |
Last Update Date | 2016-11-17 |