NPI | 1699970426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: KY 50189) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 251364) |
2086X0206X Surgery, Surgical Oncology (Licence: KY TP761) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-06-20 |
Last Update Date | 2022-07-21 |