NPI | 1396978540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000147A) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: GA 1911) |
Enumeration Date | 2009-09-03 |
Last Update Date | 2024-11-05 |