| NPI | 1619362001 |
|---|---|
| Former Name | SEAN LUKE WEINBERG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD201352) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD61103323) |
| 208600000X Surgery (Licence: MN 63579) | |
| 208600000X Surgery (Licence: IA MD47700) | |
| 208600000X Surgery (Licence: WI 73695-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2021-12-02 |