| NPI | 1790250637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001087) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 790267) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2021-08-12 |