| NPI | 1952304198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006991) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704156636) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 169824) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 31912) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200560026CRNA) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-643) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 278) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-12-03 |