| NPI | 1336486786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60333564) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 00169917) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2020-02-20 |