NPI | 1023278520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 264323) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD463503) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-10 |
Last Update Date | 2018-09-24 |