| NPI | 1619379872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 3198) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-10-27 |