| NPI | 1427895010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0021417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 467392) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2025-09-17 |