| NPI | 1245760388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN696666) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 112114) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-07-11 |