NPI | 1154826709 |
---|---|
Former Name | NICHOLAS RAYMOND STUKEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A166949) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-27 |
Last Update Date | 2022-07-18 |