| NPI | 1679984884 |
|---|---|
| Former Name | PANNAPARA JOSEPH JOHANNAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN563132) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR14443900) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L1-0039648) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2024-01-12 |