| NPI | 1730478538 |
|---|---|
| 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: WA MD60710903) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2025-10-31 |