| NPI | 1811205552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 014163-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 014163-1) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-11-08 |