NPI | 1942241245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN086016) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04040) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2024-05-15 |