| NPI | 1992743553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9230105) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN472962) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN614598) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AR108092) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 522116-01) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-11-21 |