NPI | 1215970975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 03649) |
Additional Taxonomies | 174400000X Specialist (Licence: OH 162888) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2019-08-14 |