NPI | 1326432212 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 34.015316) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 34.015316) |
2086S0102X Surgery, Surgical Critical Care (Licence: OH 34.015316) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10052467) | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2021-12-27 |