| NPI | 1962581181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0514) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: HI APRN-397) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN145581) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-10-09 |