| NPI | 1831143411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005860) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2001018435) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 5546) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 715179) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN566387) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007050) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 322817) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ME 51848) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-03-09 |