NPI | 1215491121 |
---|---|
Professional Name | HUNTER ENDRES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: KS 15-02347) |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: MO 2020026368) |
Enumeration Date | 2019-01-24 |
Last Update Date | 2023-07-12 |