| NPI | 1417925884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RNA36648) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 2784662) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN178631) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 239190) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2024-01-02 |