| NPI | 1962226035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 73976) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-06-02 |