| NPI | 1932566155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0021056) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2305360) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 006283) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001546) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20345) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-12-24 |