| NPI | 1932528296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2018040400) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008612) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 006320) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP137488) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024179286) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 7809) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 0000024792) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2025-07-18 |