NPI | 1962687764 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0005551-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 165569) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2025-04-23 |