NPI | 1134198724 |
---|---|
Professional Name | MICHAEL L. LICHARDI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00119100) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 2697) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2013-07-30 |