| NPI | 1811290760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60483966) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2011002648) | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2019-02-07 |