NPI | 1922199876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP115517) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 648723) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2021-06-24 |