| NPI | 1851957500 |
|---|---|
| Former Name | BRYANT ALLEN CHASTINE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-144847) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |