| NPI | 1114122769 |
|---|---|
| Other Name | SAMUEL BAE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME128524) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A123341) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-02-06 |