NPI | 1275951212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NM MD2021-0969) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NM MD2015-0677) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-06 |
Last Update Date | 2023-11-17 |