NPI | 1427553973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME145229) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-06-05 |