NPI | 1881721488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: IL 238.000017) |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: IL 238.000017) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2021-08-10 |