| NPI | 1689668154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30005404) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 45344) |
| 163W00000X Registered Nurse (Licence: MT 45344) | |
| 163W00000X Registered Nurse (Licence: WA RN00103282) | |
| 163W00000X Registered Nurse (Licence: CA RN 466027) | |
| 163W00000X Registered Nurse (Licence: MN R147063-9) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA 2224) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-06-11 |