| NPI | 1891409116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000121A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 75000121A) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-02-28 |