NPI | 1205927613 |
---|---|
Other Name | JEFF SCOTT FRATTALI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0002283) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0002283) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2022-04-05 |