NPI | 1235329889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IN 01072752A) |
Additional Taxonomies | 208600000X Surgery (Licence: KS 04-35612) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 82003) | |
Enumeration Date | 2007-07-30 |
Last Update Date | 2022-10-03 |