NPI | 1700347606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: MA 279864) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2024-10-23 |