NPI | 1659726909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL MD.45089) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IN 01095433A) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AL MD.45089) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-24 |
Last Update Date | 2025-06-13 |