| NPI | 1447434311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 063874-23) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200560018CRNA) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2018-12-13 |