NPI | 1932297835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN12225) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN135967) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-09 |