NPI | 1639605819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH APRN.CNP.021792) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH APRN.CNP.021792) |
Enumeration Date | 2017-05-05 |
Last Update Date | 2021-07-09 |