| NPI | 1134149388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN0000113987) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC COMPACT RN#113987) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN#11231) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX COMPACT APN#11231) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX COMPACT RN#113987) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN#2655) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-03-23 |