| NPI | 1912959321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-301) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ID PA-301) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-11-02 |