NPI | 1225485394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036150043) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-068224) |
207P00000X Emergency Medicine (Licence: MO 2019034668) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2019-11-22 |