| NPI | 1619501541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 129872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 659655) |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2021-09-22 |