| NPI | 1598741357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00734) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA rn334205l) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2023-11-29 |