NPI | 1104364207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005899A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101023035) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-02-08 |
Last Update Date | 2020-06-23 |