| NPI | 1154329290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA2166) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA2166) |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA2166) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |