NPI | 1992171763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00741) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 786322) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2018-10-03 |