NPI | 1366766321 |
---|---|
Other Name | BEN REEVES MARTINEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: LA 205231) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-03-19 |
Last Update Date | 2023-11-17 |