NPI | 1295719441 |
---|---|
Professional Name | RYAN D. WOLF |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3208) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO 3208) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2013-05-16 |