| 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 |