| NPI | 1851363790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 537680) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 537680) |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2014-05-22 |