| NPI | 1497285811 |
|---|---|
| Former Name | CONSTANTIN JAEN NAUTNAY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MT213549) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213549) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2021-04-03 |