| NPI | 1205322302 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 62058) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2025-07-02 |