NPI | 1255593919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036127628) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 50429) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2022-03-09 |