| NPI | 1538146766 |
|---|---|
| Other Name | JOEL DANTES DIZON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0903) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004702) |
| 363AM0700X Physician Assistant, Medical (Licence: WI 2551-023) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2017-05-05 |