| NPI | 1073553061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54719) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 322822) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ME 51834) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007130) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN566386) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 146118) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 710450) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 274393) | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-01-07 |