| NPI | 1629347760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000964) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 21468) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2024-02-20 |