| NPI | 1750771390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WY PA770) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CO PA.0007485) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2023-11-08 |