NPI | 1952903189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2552) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2301354) |
Enumeration Date | 2020-11-12 |
Last Update Date | 2020-12-16 |