NPI | 1164488771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN230376) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA02787) |
Enumeration Date | 2006-04-22 |
Last Update Date | 2007-07-08 |