| NPI | 1801531991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC CHUN-XPR7PZ) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC NA) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-04 |