NPI | 1093012163 |
---|---|
Other Name | REGGIE MIDDLEBROOKS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172635) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 085238) |
Enumeration Date | 2011-02-24 |
Last Update Date | 2023-01-06 |