NPI | 1518942440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.00029-NA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 145677) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2009-06-04 |