NPI | 1306298377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018023724) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2023-06-15 |