| NPI | 1710748082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC1254) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2026-08-26 |