| NPI | 1407279227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9273737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 771242) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9273737) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 771242) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2023-04-27 |