| NPI | 1346607520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000637) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV TRN346010) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95099966) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RN65584) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 063734-21) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 063734-21) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2022-01-26 |