NPI | 1437308707 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2018024909) |
Additional Taxonomies | 208600000X Surgery (Licence: AR E-7095) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-09-11 |
Last Update Date | 2018-11-08 |