| NPI | 1851715213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A10884) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R229097) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172051) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2023-03-03 |