| NPI | 1396475174 |
|---|---|
| Other Name | LANDAN MICHAEL BROOKS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4474) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-10-07 |