| NPI | 1669409033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9193090) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 674130) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA-01274) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000027) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 847033) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-08-03 |