NPI | 1932577434 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA950008666) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201502800RN) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2018-03-23 |