| NPI | 1659960466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020217) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH LE-00035135) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |