| NPI | 1346263118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 44017) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK R0044017) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-04-25 |