| NPI | 1669196804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0137311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95169150) |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2025-07-16 |