NPI | 1235334871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N9077) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2011-03-29 |