| NPI | 1538753447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0002994-C-CRNA) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9409667) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-07-14 |