NPI | 1891184883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN121128) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28247886A) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2019-01-23 |