NPI | 1649699935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2014-0288) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208600000X Surgery (Licence: NM RS2014-0288) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-06-26 |