NPI | 1871082511 |
---|---|
Other Name | ROBERT JOHN WIMMER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA006945) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1955) |
363AM0700X Physician Assistant, Medical (Licence: PA MA065635) | |
Enumeration Date | 2018-05-08 |
Last Update Date | 2024-08-14 |