| NPI | 1467590075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA2351) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OR 097006794N3) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP30003495) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 537692 9479) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 097006794CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30003495) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 537692 2351) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2015-07-11 |