| NPI | 1063463362 |
|---|---|
| Former Name | CLARENCE TARP |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR COO447) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR R28256) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-05-22 |