NPI | 1932347812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2258361) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2258361) |
Enumeration Date | 2009-01-30 |
Last Update Date | 2022-07-21 |