| NPI | 1053150615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ r4228) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R4228) |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2025-08-17 |