| NPI | 1659551612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007545) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 228596) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117632) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ID N-31328) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168059) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 745525) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 101051) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 74249) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2022-05-27 |