NPI | 1043790249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 330102) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01093788A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-08-16 |
Last Update Date | 2024-08-06 |