NPI | 1982018636 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: IN 75000059A) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2014-06-19 |
Last Update Date | 2020-04-21 |