| NPI | 1225231038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-01327) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NC 2014-01327) |
| 2086S0127X Surgery, Trauma Surgery (Licence: TN MD0000049420) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208600000X Surgery (Licence: TN 49420) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2022-02-01 |