| NPI | 1639709173 |
|---|---|
| Professional Name | KEITH LATASIEWICZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005942) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-07-29 |