NPI | 1205860913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 058522-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN-313611) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN-313611) | |
163W00000X Registered Nurse (Licence: NH 058522-21) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2018-03-17 |