NPI | 1548361900 |
---|---|
Other Name | CHARLES DAVID JAMES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60343479) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AZ 3178) |
363AM0700X Physician Assistant Medical (Licence: WA PA60343479) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2015-03-26 |