NPI | 1114486107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2023-0371) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA PTL2432) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2023-0371) | |
Enumeration Date | 2019-03-18 |
Last Update Date | 2023-08-14 |