NPI | 1376879809 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: NV 112380) |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: NV 86492) |
247200000X Technician, Other | |
Enumeration Date | 2009-10-17 |
Last Update Date | 2009-10-17 |