| NPI | 1932507795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9309614) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: FL 522400) |
| 146N00000X Emergency Medical Technician, Basic (Licence: FL 520033) | |
| 163W00000X Registered Nurse (Licence: FL 9309614) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9309614) | |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2016-07-28 |