NPI | 1508072331 |
---|---|
Other Name | KERFALA FOFANA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007046RX) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9105531) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2024-08-08 |