| NPI | 1023016409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN3273122) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60299893) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 650851) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166324) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 090084-23) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 169108) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2024-05-14 |