NPI | 1891779732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN174475) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 062441-23) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2023-01-04 |