NPI | 1144511320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.137317) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.137317) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-22 |
Last Update Date | 2022-01-26 |