| NPI | 1699470948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10083447) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10083447) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-12 |