| NPI | 1487274528 |
|---|---|
| Former Name | YUVAL KIMBELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-10946) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10946) |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2024-04-10 |