NPI | 1285129148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H0102924) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT018579) |
207P00000X Emergency Medicine (Licence: TN 4489) | |
207P00000X Emergency Medicine (Licence: CA 20A17869) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-24 |
Last Update Date | 2025-06-23 |