| NPI | 1841287224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 10379) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN134640) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 134640) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2011-01-11 |