NPI | 1679163422 |
---|---|
Other Name | JOSE CARLOS CORPUS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020286) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 134177) |
Enumeration Date | 2021-01-25 |
Last Update Date | 2021-11-05 |