NPI | 1013251347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS016599) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA OS016599) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-11-27 |
Last Update Date | 2020-03-24 |