NPI | 1881999472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121455) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 678929) |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN585727) | |
Enumeration Date | 2011-01-13 |
Last Update Date | 2022-11-29 |