NPI | 1174715882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME101232) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 101232) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN8271) | |
Enumeration Date | 2007-08-16 |
Last Update Date | 2025-03-27 |