NPI | 1154882702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 30382) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 30382) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2023-04-18 |