| NPI | 1952339343 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SD 0067) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 0067) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-04-15 |