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 |