| NPI | 1134879794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2024036676) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 37081) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2025-08-12 |