NPI | 1871910141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: MD 1871910141) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2017-05-06 |