| NPI | 1932832516 |
|---|---|
| Former Name | NONO CHARLES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TN 22-386) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: WI 22-386) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2025-03-25 |