| NPI | 1427450568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2018-0303) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A133387) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA A133387) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2022-02-08 |