NPI | 1154562791 |
---|---|
Other Name | THOMAS ETTER LLC |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: WY 9334A) |
Additional Taxonomies | 208600000X Surgery (Licence: WY TL2094) |
208600000X Surgery (Licence: MO 2006003130) | |
Enumeration Date | 2009-03-11 |
Last Update Date | 2022-08-10 |