| NPI | 1881679595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP109124) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA123016) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 059893-23) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101-0032498) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201260025CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1082) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN271326) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004631) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 73353) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-05-26 |