| NPI | 1447557681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134414) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN60240769) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60240770) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2018-04-24 |