NPI | 1184742066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00276) |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA0000276) |
246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00276) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2014-02-19 |