| NPI | 1629015268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 13682) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704212626) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C01487) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R008864) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2002008561) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0088764) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN R54267) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-01-11 |