NPI | 1679390603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000203A) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2024-09-23 |
Last Update Date | 2025-01-14 |