| NPI | 1275073355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02005915A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 1275073355) |
| 207P00000X Emergency Medicine (Licence: CA 20A18697) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2022-10-29 |