NPI | 1912589250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN TBD2021) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2021-04-26 |