NPI | 1861448474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3182) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4704180690) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2013-12-04 |