NPI | 1396125654 |
---|---|
Other Name | ALEXANDER GAIDARSKI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX T7218) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN19732) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2022-09-21 |