NPI | 1811370737 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 7721) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2015-07-09 |
Last Update Date | 2021-11-10 |