| NPI | 1447879556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-16216) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: AR E-16216) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2023-01-06 |