| NPI | 1003251562 |
|---|---|
| Former Name | IAN MICHAEL GOODSELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1939) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2022-06-24 |