NPI | 1073134144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OK 31) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-07-01 |