NPI | 1932724796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 244454) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN175282) |
Enumeration Date | 2020-06-08 |
Last Update Date | 2024-03-27 |