| NPI | 1194870105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28195968A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 188442) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 12444) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006466) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-05-31 |