NPI | 1275514010 |
---|---|
Other Name | MICHAEL JAMES ANDERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04245) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1057637) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2019-02-01 |