NPI | 1235770041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.020000) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.392967) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2020-02-25 |