NPI | 1093320699 |
---|---|
Former Name | ALEXANDER HILGER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA206018) |
Enumeration Date | 2020-09-10 |
Last Update Date | 2022-09-30 |