NPI | 1881620615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 023499) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN108365) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2007-07-08 |