NPI | 1083294250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020341) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10010542) |
Enumeration Date | 2021-04-12 |
Last Update Date | 2024-07-30 |