NPI | 1912054073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 537115-1) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 537115) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2018-01-04 |