| NPI | 1346272184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-APRN-LIC-130460) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 130460) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2954562) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28214343A) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 55616) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-11-04 |