NPI | 1962642751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60068032) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 81488) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2023-02-09 |