NPI | 1699105353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Additional Taxonomies | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant |
Enumeration Date | 2013-11-17 |
Last Update Date | 2023-03-02 |