| NPI | 1023045192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA305A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N22476) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-11-20 |