| NPI | 1235586439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 183617) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2026-04-29 |