| NPI | 1558561977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AZ 54230) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141159) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-07-21 |