| NPI | 1881959013 |
|---|---|
| Other Name | JAKE PETROSKY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME149924) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.126975) |
| 208600000X Surgery (Licence: PA MD459469) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208600000X Surgery (Licence: MS 32954) | |
| 208600000X Surgery (Licence: TN 69473) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2024-02-27 |