| NPI | 1457329427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3312342) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 24194) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2018-05-29 |