| NPI | 1073559266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-037235) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2043) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN100586) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 591252) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 2243) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R794659) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R57183) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 114933) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-01-09 |