NPI | 1700034907 |
---|---|
Former Name | CLAYTON JAMES BRIGGS-CARNAHAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA01387) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA01387) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2022-05-23 |