| NPI | 1184983371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 88063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 68352) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-09-11 |