| NPI | 1689018202 |
|---|---|
| Other Name | BLAKE BENNETT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002981) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR CTP000234) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-12-12 |