NPI | 1982844643 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117869) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 758422) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2020-09-23 |