| NPI | 1699925040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA-10271) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN-277085) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 080364) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2011-03-11 |