| 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 |