| NPI | 1942266077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9230423) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN 133357) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704172755) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |