Individual
TOSAN AMUYIRIGBORTISE UGBEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
135.0000034
VT
367H00000X
Anesthesiologist Assistant
Primary
67.000240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0156897
—
OH
Enumeration date
12/02/2014
Last updated
04/02/2020
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