| NPI | 1295735736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 031034-23-11) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 131481) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704111518) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN-319529L) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 181303) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN157295) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2015-10-20 |