| NPI | 1225396237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: IN 1225396237) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2022-08-04 |