NPI | 1780179333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000046A) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2018-06-26 |
Last Update Date | 2019-09-09 |