| NPI | 1003249301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS15744) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 293148) |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: NY 293148) | |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: FL OS15744) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 293148) | |
| Enumeration Date | 2013-08-10 |
| Last Update Date | 2022-11-29 |