NPI | 1326298936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036158339) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME128369) |
208600000X Surgery (Licence: NY 255914) | |
2086S0102X Surgery, Surgical Critical Care (Licence: FL ME128369) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-09-19 |
Last Update Date | 2022-05-19 |