| NPI | 1134660905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 808440) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN135524) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-04-22 |