| NPI | 1780121939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10091435) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA13661) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2025-02-18 |