| NPI | 1043882756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024183353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001308001) |
| 163W00000X Registered Nurse (Licence: NC 318587) | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2022-01-11 |