NPI | 1346634219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A147611) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.159457) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2023-08-01 |