| NPI | 1841268489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9430256) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55504) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-045677) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R509566) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000011106) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-06-22 |