| NPI | 1558314526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 11401) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR APNCO2776) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28189794A) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 97362) | |
| 163W00000X Registered Nurse (Licence: TN RN 113440) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KY ARNP6026A) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-08-09 |