| NPI | 1720785702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9117187) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-05-05 |