NPI | 1124316674 |
---|---|
Professional Name | ROBERT GOODMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06113) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA06113) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2015-11-23 |