| NPI | 1669607800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8117) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2009-0007) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2024-02-12 |