NPI | 1881696839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN304233L) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM R40292) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2024-10-21 |