NPI | 1881991206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22258) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN213259) |
Enumeration Date | 2011-02-21 |
Last Update Date | 2022-03-31 |