NPI | 1114454311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4351033727) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083164A) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351033727) | |
Enumeration Date | 2017-05-18 |
Last Update Date | 2022-07-21 |