NPI | 1942710322 |
---|---|
Professional Name | MATTHEW C YOUNG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11657) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA11657) |
363AS0400X Physician Assistant, Surgical (Licence: TX PA11657) | |
Enumeration Date | 2017-10-11 |
Last Update Date | 2024-11-05 |