| NPI | 1679682447 |
|---|---|
| Other Name | MIKE THOMPSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OK 1774) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2003020147) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2018-10-03 |