NPI | 1164820510 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 056326) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 293917) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-12-17 |
Last Update Date | 2021-04-06 |