NPI | 1235471632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0056442) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207P00000X Emergency Medicine (Licence: TX Q2671) | |
Enumeration Date | 2013-03-23 |
Last Update Date | 2016-07-08 |