| NPI | 1972233492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0009042) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116222) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-05-02 |