NPI | 1215261367 |
---|---|
Former Name | NATHAN DANIEL MURRAY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1798) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 16223) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2016-08-08 |