NPI | 1942899760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10066) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 10066) |
Enumeration Date | 2021-01-15 |
Last Update Date | 2025-04-28 |