NPI | 1932753878 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 62583) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ID 48308) |
Enumeration Date | 2019-07-29 |
Last Update Date | 2019-09-20 |