NPI | 1437619483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: FL 6779) |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-06-24 |