NPI | 1184222812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020235) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 382581) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2021-02-24 |