NPI | 1245551001 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A125105) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 54320) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-06-16 |
Last Update Date | 2020-10-19 |