NPI | 1962668657 |
---|---|
Professional Name | DERRICK BOYD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA003235L) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA003235L) |
363AS0400X Physician Assistant, Surgical (Licence: PA MA003235L) | |
Enumeration Date | 2008-08-01 |
Last Update Date | 2015-05-01 |