NPI | 1922010933 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000590) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 209-000590) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2024-12-05 |