| NPI | 1023436003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN238498) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 104794) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2016-07-01 |