NPI | 1730385899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA 100001219) |
Additional Taxonomies | 208600000X Surgery (Licence: HI MD-14867) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-06-25 |
Last Update Date | 2022-08-10 |