| NPI | 1215090279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104051) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104051) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-08-30 |