NPI | 1003273582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28276670A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.18550) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2024-11-04 |