NPI | 1164950531 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD477700) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA FW1144776) |
207P00000X Emergency Medicine (Licence: PA MT217413) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-31 |
Last Update Date | 2023-06-19 |