| NPI | 1457397275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN244086) |
| 163W00000X Registered Nurse (Licence: HI RN 60633) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: HI APRN 990) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-01-03 |