NPI | 1467748673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2022034845) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.140694) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-27 |
Last Update Date | 2022-09-20 |