NPI | 1336445998 |
---|---|
Former Name | WESLEY PAUL SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: NV 00F536) |
Enumeration Date | 2011-01-31 |
Last Update Date | 2011-01-31 |