| NPI | 1437806114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1167885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 952862) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-07-01 |