| NPI | 1497142830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 219124) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127559) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 950002210) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA233819) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2026-05-20 |