NPI | 1780643528 |
---|---|
Other Name | SHAWN MOSTAFANIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA16378) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA16378) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2021-12-14 |