| NPI | 1437382017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN153885) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1122453) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 6355A) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 48096) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2018-03-19 |