NPI | 1932170578 |
---|---|
Other Name | SOCHEAT ITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA18527) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001611) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2022-01-11 |