| NPI | 1427007210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9421668) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10168) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-08-25 |