| NPI | 1275158321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 60683) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 60683) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-03-21 |