| NPI | 1144237561 |
|---|---|
| Other Name | MARK REUBEN RICHARDSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R093267-3) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |