NPI | 1538150966 |
---|---|
Professional Name | DAVID BENNER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 2965) |
Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: CA PA17737) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2013-05-09 |