NPI | 1427871466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OH APRN.CNP.0038566) |
Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: OH RN.453265) |
Enumeration Date | 2024-11-07 |
Last Update Date | 2025-02-20 |