NPI | 1629502133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 307670) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: NY 307670) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 307670) | |
Enumeration Date | 2017-04-12 |
Last Update Date | 2025-07-26 |