| 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 101625) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-05-08 |