NPI | 1720776545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MO 1720776545) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2023-04-28 |
Last Update Date | 2025-01-30 |