| NPI | 1720601941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11022612A) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: AZ 00000000) |
| 208600000X Surgery (Licence: AZ R78314) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2022-07-27 |