| NPI | 1225361918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000150A) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 5639) |
| 367H00000X Anesthesiologist Assistant (Licence: GA 005639) | |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2023-10-30 |