NPI | 1326542192 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA OS022535) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS022535) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-19 |
Last Update Date | 2023-06-19 |