NPI | 1871319053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 909737) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 909737) |
Enumeration Date | 2024-12-03 |
Last Update Date | 2024-12-26 |