| NPI | 1790015246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC000968) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001154975) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2022-08-16 |