| NPI | 1861232506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024020469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014038675) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-06-05 |