NPI | 1821398363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: IL 085.004259) | |
Enumeration Date | 2010-11-01 |
Last Update Date | 2024-05-23 |