NPI | 1285209742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101027136) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151015030) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2023-05-17 |