| NPI | 1871599472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9277302) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 083949) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0528) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN083949) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-11-27 |