NPI | 1134188592 |
---|---|
Other Name | GREG HAROLD KJOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 100929) |
Additional Taxonomies | 372500000X Chore Provider (Licence: MN 039732) |
367500000X Nurse Anesthetist, Certified Registered (Licence: ND R45935) | |
Enumeration Date | 2006-03-22 |
Last Update Date | 2018-05-15 |