NPI | 1033591086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY R3868) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207P00000X Emergency Medicine (Licence: IN 01079961A) | |
Enumeration Date | 2015-06-26 |
Last Update Date | 2023-03-10 |