| NPI | 1265932578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: PR 6072) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 6188920) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2020-04-17 |