NPI | 1124090899 |
---|---|
Professional Name | THOMAS OLSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10004897) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 103919) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2008-05-05 |