NPI | 1720048853 |
---|---|
Other Name | R. MATT MATTHEWS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: KY 93050) |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: KY SA106) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2007-07-08 |