NPI | 1750544094 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA07743NA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN254954) |
Enumeration Date | 2008-07-08 |
Last Update Date | 2014-01-14 |