| NPI | 1801002340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MT MED-PHYS-LIC-32753) |
| Additional Taxonomies | 208600000X Surgery (Licence: MT 32753) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-02-11 |