NPI | 1881950350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 5084) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 160832-30) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2023-10-23 |