NPI | 1942066899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0021335) |
Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MI 1519070) |
163WS0200X Registered Nurse, School (Licence: MI 4704342349) | |
Enumeration Date | 2024-02-27 |
Last Update Date | 2025-08-27 |