| NPI | 1457674640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60140049) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA RN619028) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 46909) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MT NUR-RN-LIC-71934) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201394417CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA-0182) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AK NURA428) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2020-11-19 |