| NPI | 1063410538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50000431) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50000431) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2021-01-12 |