| NPI | 1356889265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM PAUL AKRAWI Chief Executive Officer 833-477-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2020-10-24 |