| NPI | 1437915576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704323730) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704323730) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-09-08 |