| NPI | 1437296209 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: VA 0102201697) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0102201697) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT012661) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-06-01 |