NPI | 1891793212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11003616) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 5292991) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN290509) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA rn504261l) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: WV 59827) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3824a) | |
Enumeration Date | 2005-07-09 |
Last Update Date | 2023-09-20 |