| NPI | 1568578714 |
|---|---|
| Other Name | BOB NMN EVANS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN PA-052) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 517) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 0001-01419) | |
| 363AS0400X Physician Assistant, Surgical (Licence: TX pa04435) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2009-08-18 |