| NPI | 1619941218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN513106L) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 714305) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-05-26 |