| NPI | 1851985410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD482218) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD482218) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-11-07 |