| NPI | 1609018878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD176478) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OR MD176478) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-12-14 |