NPI | 1992100424 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.16937-NA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.354534-COA1) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2017-06-05 |