| NPI | 1003100314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301109906) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 249013 Buggia) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2016-07-07 |