| NPI | 1982835344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: IA MD-45681) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-45681) |
| 208600000X Surgery (Licence: MN 52944) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2018-10-22 |