| NPI | 1619332475 |
|---|---|
| Other Name | J.D. LUCK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D90135) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: MN 77877) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2025-08-05 |