NPI | 1942272844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60539047) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 1083366) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2016-01-29 |