| NPI | 1215478672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 96655) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR R097378) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2018-01-18 |