NPI | 1265938765 |
---|---|
Other Name | TOM MOU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A164342) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-03 |
Last Update Date | 2021-08-04 |