| NPI | 1467678003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 337141) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1079) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP104135) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA-01432) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 14316) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9242983) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2024-06-10 |