| NPI | 1215252929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1815566) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 15699-NA) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 5721-33) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D125794) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN0991084CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9289597) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 683051) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN656096) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125440) | |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2025-03-10 |