| NPI | 1619376977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0006396) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NC 2014-00839) |
| 208600000X Surgery (Licence: NC 2014-00839) | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2017-09-29 |