| NPI | 1437157831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA00973) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28167152A) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D-115378) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 071792) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 374) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 143768-030) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 141529-6) | |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2017-10-19 |