| NPI | 1629362967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS TMP 143164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-96043-041) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-07-24 |