| NPI | 1487697454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9329731) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R871013) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN067080) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM r49149) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 560611) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28101289A) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-055700) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C01229) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 90872) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-01-28 |