| NPI | 1932427291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AR E15428) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: GA 080383) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208600000X Surgery (Licence: AR E15428) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-10-06 |