| NPI | 1760484877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 035827) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN-240389-L) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2011-08-09 |