| NPI | 1356188114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1170180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN186317) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-09-23 |