| NPI | 1902858350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 10844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN 123038) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-08-05 |