| NPI | 1497053326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA CRNA086311) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN00157929) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60209353) | |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2021-08-25 |