NPI | 1962652172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR09448300) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000873) |
Enumeration Date | 2008-09-24 |
Last Update Date | 2024-08-23 |