| NPI | 1831277235 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00187700) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ NO97646) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2024-05-14 |