NPI | 1205162799 |
---|---|
Former Name | EYUAL K YERBO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10025183) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 353548) |
363L00000X Nurse Practitioner (Licence: OH APRNCNP021726) | |
Enumeration Date | 2009-10-19 |
Last Update Date | 2024-09-03 |