NPI | 1548866791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 434436) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 434436) |
Enumeration Date | 2020-12-11 |
Last Update Date | 2020-12-11 |