| NPI | 1366785727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 332197) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.137061) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-09-17 |