| NPI | 1538747738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 1538747438) |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 1538747738) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2026-04-06 |