NPI | 1386176980 |
---|---|
Other Name | TRIPP LEAVITT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OH 57.030452) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.030452) | |
Enumeration Date | 2017-04-01 |
Last Update Date | 2019-05-07 |