NPI | 1215907373 |
---|---|
Other Name | TRIPP BALDWIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003377) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2006-01-23 |
Last Update Date | 2021-11-18 |