NPI | 1144682147 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 66424) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 66424) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2022-05-23 |