| NPI | 1326322710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP121070) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 801786) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2025-02-25 |