| NPI | 1427083856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN271595L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN-271595-L) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-10-07 |