NPI | 1306055694 |
---|---|
Former Name | STANLEY JOSEPH HORKY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IN 01068593A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125-044945) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2015-08-28 |