| NPI | 1902010168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 077449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 181383) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-03-29 |