NPI | 1033432414 |
---|---|
Other Name | MIKE ELVIS DAVISON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN 15003) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R54101) |
Enumeration Date | 2010-03-12 |
Last Update Date | 2011-06-09 |