| NPI | 1457682866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 5158976-4406) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118812) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 084069) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2021-11-20 |