NPI | 1982728739 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN049958 AP02486) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN049958) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2010-07-09 |