| NPI | 1912267758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA 1912267758) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WV 191226778) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2023-10-02 |