| NPI | 1326209339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61536651) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK NURA367) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2024-05-09 |