| NPI | 1154980514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5026-23) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-09119) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-02-10 |