NPI | 1871527689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 1695) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 302773) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2009-05-19 |