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 |