| NPI | 1720674146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601010259) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 5601010259) |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2024-11-06 |