| NPI | 1851540108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 054013) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 054013) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 054013) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2016-12-15 |