NPI | 1760524250 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL DO1140) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: AL DO1140) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2021-01-12 |