| NPI | 1316949183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 023283-23-11) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH 0232832311) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 023283-21) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2008-09-17 |