| NPI | 1326057126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 197388) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28256948A) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55544) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704362701) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-12-15 |