| NPI | 1467968156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 203444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 95410) |
| 163W00000X Registered Nurse (Licence: FL RN9368756) | |
| 163W00000X Registered Nurse (Licence: PA RN6711331) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 95410) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-08-28 |