NPI | 1992325922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 126177) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R865830) |
Enumeration Date | 2020-04-20 |
Last Update Date | 2020-07-09 |