| NPI | 1114348737 |
|---|---|
| Other Name | ROMAN BENJAMIN CARROLL GRANT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006899) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-1155) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2025-05-14 |