NPI | 1578702536 |
---|---|
Former Name | FRANCIS JOSEPH WELCH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA130039) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 19919) |
Enumeration Date | 2009-02-16 |
Last Update Date | 2022-03-02 |