| NPI | 1427720903 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704308233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.461658) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 0020415) | |
| Enumeration Date | 2021-10-02 |
| Last Update Date | 2024-05-22 |