| NPI | 1780005397 |
|---|---|
| Former Name | ALPHONSE G. DUFRENY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9107467) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL PA9107457) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2024-12-23 |