NPI | 1477722999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.09859) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN300452) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2024-10-17 |