NPI | 1285994517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MN 59277) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R4913) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2022-01-21 |