| NPI | 1447789706 |
|---|---|
| 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: TX 48034) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX 48034) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-08-30 |