| NPI | 1982163713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 256106) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60117201) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-08-16 |