NPI | 1952919482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 12049) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000062A) |
Enumeration Date | 2020-07-21 |
Last Update Date | 2024-01-11 |