| NPI | 1063756708 |
|---|---|
| Former Name | JOJIN ANGELO JOSE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2360) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5311) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2014-05-09 |