NPI | 1952948465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRNCRNA020012) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.435805) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-12-03 |
Last Update Date | 2020-01-15 |