NPI | 1861641714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000015280) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000141656) |
Enumeration Date | 2008-09-16 |
Last Update Date | 2022-07-07 |