NPI | 1982665774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28132906A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA06807NA) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2020-02-19 |