| NPI | 1467462671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28188056A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2013023216) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-006091) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-12-23 |