| NPI | 1447224761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04363) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209023002) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 083955-04363) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-03-01 |