NPI | 1265827174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 21297) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 21297) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MD D0089456) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-10-29 |