NPI | 1619056553 |
---|---|
Professional Name | T SEAN DIESEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NM PA2009-0010) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 765) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2024-07-17 |