NPI | 1992402960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 143038) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 452066) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 143038) | |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-05-22 |