| NPI | 1770277568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020816) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 416017) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-07 |