| NPI | 1790495463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2470070) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-02-07 |