| NPI | 1285589697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 89645) |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-06-22 |