| NPI | 1194179168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-1896) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5315087447) |
| 207P00000X Emergency Medicine (Licence: NE 2358) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2024-12-20 |