| NPI | 1447724489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 223379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN182024) |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2020-01-16 |