| NPI | 1932726452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28261167C) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28261167A) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 133787) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-11-13 |