| NPI | 1992286355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP143878) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000628) |
| 163W00000X Registered Nurse (Licence: FL RN9456287) | |
| 163W00000X Registered Nurse (Licence: TX 857418) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2020-03-10 |