NPI | 1144807694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E15898) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E15868) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2022-09-27 |