NPI | 1639547540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 360873-1) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.18093) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2024-07-29 |