NPI | 1124077821 |
---|---|
Professional Name | GEORGE STEPHEN MIDLA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA07734) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA 1041460) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2013-05-28 |