| NPI | 1407138043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: WA PA.PA.60241893) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA.PA.60241893) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2021-02-01 |