| NPI | 1285738724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: TX AP109201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 600960) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 049819) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-10-13 |