NPI | 1770028649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN CRNA 019381) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 019381) |
Enumeration Date | 2016-12-30 |
Last Update Date | 2017-05-31 |