NPI | 1881967198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 183) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R158831-4) |
Enumeration Date | 2012-02-16 |
Last Update Date | 2020-08-04 |