| NPI | 1689273138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 331636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9411083) |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2021-09-08 |