| NPI | 1043422181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-15681) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 060443) |
| 207P00000X Emergency Medicine (Licence: GA 060443) | |
| 207P00000X Emergency Medicine (Licence: ME 017930) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-06-09 |