NPI | 1538680772 |
---|---|
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: PA MT214426) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2020-08-12 |