| NPI | 1952353294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28155396A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28155396) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019435) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-06-05 |