NPI | 1851851331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 305145) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61148746) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-04-11 |