NPI | 1619602380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 144394) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.416152) |
Enumeration Date | 2022-07-18 |
Last Update Date | 2023-05-30 |