| NPI | 1326453200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 67372-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 6491-851) |
| 208600000X Surgery (Licence: WI 67372-20) | |
| 208600000X Surgery (Licence: MA L-260562) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-06-02 |