| NPI | 1053446401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D-099790) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R178084) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0098829) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101296) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2015-05-13 |