NPI | 1811056179 |
---|---|
Former Name | SCOTT POMYLGASKI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NO11682300) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 549943) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2008-12-03 |