| NPI | 1053563072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD444490) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMBPIT#BP10032299) |
| 208600000X Surgery (Licence: MA 245798) | |
| 208600000X Surgery (Licence: MA 249696) | |
| 208600000X Surgery (Licence: PA MD444490) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 283719) | |
| 208600000X Surgery (Licence: NY 283719) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2017-01-06 |