| NPI | 1255408498 |
|---|---|
| Former Name | WILLIAM THOMAS BENESKY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-02515) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02515) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-02-15 |