NPI | 1992074116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 88188) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 216843) |
Enumeration Date | 2011-12-16 |
Last Update Date | 2012-11-08 |