NPI | 1851892400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116038928) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 01084205A) |
208D00000X General Practice (Licence: IN 01084205A) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-02-27 |
Last Update Date | 2024-07-24 |