NPI | 1912638446 |
---|---|
Other Name | DERICK JOSEPH RAWDING |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006134) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA063669) |
Enumeration Date | 2022-06-24 |
Last Update Date | 2024-10-10 |