NPI | 1689448805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000165A) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2023-11-08 |
Last Update Date | 2024-01-24 |