NPI | 1750062360 |
---|---|
Professional Name | JEAN A DELICE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 10073) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PR 001190-P.A) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2024-02-12 |