| NPI | 1730223785 |
|---|---|
| Professional Name | TY M TAYLOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KS 3618) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-01-14 |