| NPI | 1194989269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 273223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1115898) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023030056) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP132036) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209029390) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005750) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2025-02-21 |