NPI | 1083385389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020446) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.429438) |
Enumeration Date | 2021-09-26 |
Last Update Date | 2022-02-10 |