| NPI | 1356461388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175654) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0088638) |
| 163W00000X Registered Nurse (Licence: KS 14-107920-041) | |
| 163W00000X Registered Nurse (Licence: FL RN9203250) | |
| 163W00000X Registered Nurse (Licence: OK R0088638) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 660577) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000993) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 97518) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9203250) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-556908-041) | |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2023-10-31 |