NPI | 1861452716 |
---|---|
Other Name | MIKE ROBERTS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 794) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 794) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2019-08-07 |