NPI | 1215134762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101243971) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019271) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101243971) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2014-06-03 |