| NPI | 1801971676 |
|---|---|
| Professional Name | MICHAEL HENDERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA03311) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM NM2008-0046) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-07-08 |