NPI | 1033634936 |
---|---|
Former Name | DAVID SCHNEIDER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1522) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-08-11 |
Last Update Date | 2023-04-18 |