| NPI | 1922088715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024122991) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT R56262) |
| 163WG0000X Registered Nurse, General Practice (Licence: MA 145038) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 145038) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 002053) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 144244) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RNA36295) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC CCNA 036150) | |
| 163WG0000X Registered Nurse, General Practice (Licence: NY 299390-1) | |
| 163WG0000X Registered Nurse, General Practice (Licence: RI RN36295) | |
| 163WG0000X Registered Nurse, General Practice (Licence: MO 144244) | |
| 163WG0000X Registered Nurse, General Practice (Licence: VA 0001122991) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-06-07 |