NPI | 1003158791 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A154495) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207P00000X Emergency Medicine (Licence: CO DR.0056331) | |
Enumeration Date | 2013-03-20 |
Last Update Date | 2018-10-17 |