| NPI | 1407096597 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 082158) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 146453) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-12-11 |