| NPI | 1972081669 |
|---|---|
| Other Name | NICHOLAS GROSS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060012) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-02-20 |