| NPI | 1114034675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 843) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN PA843) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-05-14 |