NPI | 1114199809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00387) |
246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 08-120) | |
246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00387) | |
Enumeration Date | 2008-04-02 |
Last Update Date | 2021-01-04 |