NPI | 1023246220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NE 30765) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094162) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-25 |
Last Update Date | 2018-09-23 |