NPI | 1013143460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195738) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT195738) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2009-05-29 |