NPI | 1043612831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A138818) |
Additional Taxonomies | 208600000X Surgery (Licence: TX T1289) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-09-23 |
Last Update Date | 2024-09-20 |