| NPI | 1346426772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 532876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 064618-21) |
| 163W00000X Registered Nurse (Licence: NY 532876) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 064618-23) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2021-07-01 |