NPI | 1285731521 |
---|---|
Other Name | JACKSON M. OMBABA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M6813) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX 41243 Temp.) |
208600000X Surgery (Licence: TX 41243 Temporary) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2019-03-25 |