| NPI | 1801172929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA1302) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1302) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2019-01-16 |