| NPI | 1053682229 |
|---|---|
| Other Name | BRANDON CORY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-819A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 102238) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2018-05-15 |