NPI | 1750626081 |
---|---|
Other Name | SAM WARDA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000353) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2018-03-05 |