| NPI | 1528881638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28292955A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 237042) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-01-10 |