| NPI | 1225344278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000739) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 554974) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2022-09-27 |