| NPI | 1992037741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN132700) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171384) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN14757) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN176571) | |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2022-12-05 |