| NPI | 1366709123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28218564A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R862373) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 16741) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28218564) | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2019-06-27 |