NPI | 1891165817 |
---|---|
Other Name | BJ GRIFFIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-629) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR P-T1543) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2024-01-30 |