NPI | 1881934180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 769759) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 769759) |
Enumeration Date | 2013-02-22 |
Last Update Date | 2024-07-27 |