| NPI | 1831243062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.09905) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 748460) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-293660) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101027) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 09905) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-01-29 |