| NPI | 1538393350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R43176) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR C02758) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 092184-23) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2023-09-12 |