| NPI | 1013772094 |
|---|---|
| Former Name | CONNOR DAWSON CIEMIEWICZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17881) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA17881) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2026-01-21 |