NPI | 1174981286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN253175.1) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN353261L) |
Enumeration Date | 2016-02-03 |
Last Update Date | 2016-02-12 |