NPI | 1164857520 |
---|---|
Other Name | ALEX M GOLDNER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA191536) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2013-0058) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2024-01-18 |