| NPI | 1790448041 |
|---|---|
| Other Name | CHAD MAHUTGA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 7252) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-04-04 |