NPI | 1992412613 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11039855) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 1591095) |
163W00000X Registered Nurse (Licence: OH RN.507231) | |
163W00000X Registered Nurse (Licence: FL RN9687852) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH 153326) | |
Enumeration Date | 2022-11-02 |
Last Update Date | 2025-08-04 |