| NPI | 1568217057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1189135) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 968049) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-03-05 |