| NPI | 1275512006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP119189) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3082) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN187035) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 788451) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2015-09-30 |