| NPI | 1922052349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28055891A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 28055891A) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-07-16 |