| NPI | 1033654835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 7673816-4406) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1378) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-APRN-LIC-124537) | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2024-04-24 |