NPI | 1528086154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.08760-NA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.293559-COA1) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2022-02-09 |