| NPI | 1649259185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 286588) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA-12211) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00614) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP09019) | |
| 163W00000X Registered Nurse (Licence: NC 283188) | |
| 163W00000X Registered Nurse (Licence: DE L1-0038468) | |
| 163W00000X Registered Nurse (Licence: LA RN153321) | |
| 163W00000X Registered Nurse (Licence: AK 113635) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2016-09-27 |