NPI | 1508819749 |
---|---|
Other Name | TOM GOCKE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 003817) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 690) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2025-08-04 |