NPI | 1114175072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH RN.281490) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OH RN.281490) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2008-09-04 |