Individual
MR. JACOB KANJUPARAMBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503588
—
OH
Enumeration date
10/03/2005
Last updated
05/09/2018
Update your record
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