| NPI | 1083888408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DAVID KIRSCH Sole Proprietor 704-496-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 103668) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |