| NPI | 1164319687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1216006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 860688) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-11-21 |