| NPI | 1003206434 |
|---|---|
| Other Name | EJ OCCHIBOI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08548) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 000907) |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 23.004688) | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2025-01-06 |