| NPI | 1023587144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209019049) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177358) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 9524) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9296154) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D185353) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007010) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 766713) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2025-12-31 |