| NPI | 1720552789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11002413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9327965) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-05-13 |