NPI | 1700068400 |
---|---|
Other Name | MARC E DE LOS REYES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-100986) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-100986) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2010-11-02 |