| 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 |