| NPI | 1205462322 |
|---|---|
| Former Name | JEREMIE MATTHEW LEVER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AL .) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2022-09-10 |