| NPI | 1447656822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127616) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX TXRN-781506) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2024-01-24 |