| NPI | 1659996361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10185) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9113315) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2025-03-14 |