| NPI | 1821668435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61181585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28274259A) |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2023-07-31 |