NPI | 1871045278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9356927) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9356927) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2023-04-24 |