NPI | 1982004321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA16580NA) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH RN.341135) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28233449A) | |
Enumeration Date | 2014-09-03 |
Last Update Date | 2017-01-06 |