NPI | 1932145257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA1942) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA RN321539) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2012-12-04 |