NPI | 1134309289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 51614) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301095303) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-11-06 |
Last Update Date | 2012-09-25 |