| NPI | 1205685187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-15126) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-15126) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-05-16 |