NPI | 1023579141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-15474) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101026658) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-29 |
Last Update Date | 2022-07-22 |