| NPI | 1275068850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 351053) |
| 163W00000X Registered Nurse (Licence: DE L1-0045452) | |
| 163W00000X Registered Nurse (Licence: PA RN. 66052) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR17485800) | |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2021-10-21 |