NPI | 1295021905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 12925) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV DO3224) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-21 |
Last Update Date | 2024-07-26 |