NPI | 1558716472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D0099391) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0099391) |
2086S0127X Surgery, Trauma Surgery (Licence: MD D0099391) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-28 |
Last Update Date | 2024-05-15 |