| NPI | 1033741731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11009554) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9500370) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-08-18 |