| NPI | 1457881419 |
|---|---|
| Other Name | TYLER CHARLES UNDERRINER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0065732) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |