| NPI | 1063927473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2344) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 119113) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2020-10-15 |