NPI | 1023680519 |
---|---|
Other Name | BEN GERUN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 8281608-4406) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0004101-C-CRNA) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2022-06-23 |