NPI | 1891012894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN3186892) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61004444) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000173) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL ANT 3186892) | |
Enumeration Date | 2010-04-29 |
Last Update Date | 2025-03-04 |