| NPI | 1447691803 | 
|---|---|
| Professional Name | ALEXANDER THEILER | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004638) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004702) | 
| Enumeration Date | 2013-07-15 | 
| Last Update Date | 2016-06-07 |