NPI | 1881778041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY RN5288441) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA AANA076143) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |