| NPI | 1821555251 |
|---|---|
| Other Name | ALEX TAYLOR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA060384) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060384) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA060384) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2020-11-19 |