NPI | 1912918350 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005585) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041316652) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28177287A) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2023-11-10 |