| NPI | 1164715330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 47405) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R2633) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2023-06-06 |