| NPI | 1396006797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NC 2018-02518) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C7-0005379) |
| 208600000X Surgery (Licence: NC 2018-02518) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD471260) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2024-02-22 |