NPI | 1457611907 |
---|---|
Former Name | KOSTYANTYN DMYTROVYCH MARINOV |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557583-081) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-98251-081) |
163W00000X Registered Nurse (Licence: MO 2007001403) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012016830) | |
Enumeration Date | 2012-05-17 |
Last Update Date | 2024-03-19 |