| NPI | 1952488603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28182249A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN080513) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04439) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-02-11 |