NPI | 1447505458 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: SC 88875) |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery (Licence: SC 88875) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-07-16 |
Last Update Date | 2022-12-14 |