| NPI | 1275955957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 1403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R82917) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C.APN.0100947-C-CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003028) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2024-05-10 |