| NPI | 1467427351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00107541) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2008-07-11 |