NPI | 1336117993 |
---|---|
Other Name | JAMES MARC ENERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA2610) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 8082) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2025-03-17 |