NPI | 1902825433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200260029CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006287) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-07-08 |