| NPI | 1538162631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA13945) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA13945) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA PA13945) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-02-03 |