| NPI | 1265488209 |
|---|---|
| Other Name | BEN L. WIRT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA-90) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA-90) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-07-10 |