| NPI | 1992203152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21914) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1992203152) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28245897A) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 301514) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2024-01-17 |