| NPI | 1215356902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA FL7837896) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0061190) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2021-02-08 |