| NPI | 1841616745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 10476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN625747) |
| 163W00000X Registered Nurse (Licence: VA 0001309107) | |
| 163W00000X Registered Nurse (Licence: MD R178951) | |
| 163W00000X Registered Nurse (Licence: CT 190105) | |
| 163W00000X Registered Nurse (Licence: MA RN2372860) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 101461) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R178951) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN625747) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2372860) | |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2022-12-19 |