| NPI | 1881299246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28206146A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 50907) |
| 163W00000X Registered Nurse (Licence: IN 28206146A) | |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2024-02-19 |