| NPI | 1114573151 |
|---|---|
| Other Name | CORNELIUS MIRCEA ILEA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2418) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1619) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2023-04-27 |