| NPI | 1144223389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 63350) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 181213) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3700A) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704232737) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-096408) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN1582) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 685016) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0076777) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-06-03 |