NPI | 1447533187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000434) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: TX 1274) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2024-07-23 |