NPI | 1316344179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A144988) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 61902) |
207P00000X Emergency Medicine (Licence: TX R3793) | |
207P00000X Emergency Medicine (Licence: FL 130052) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-11-21 |
Last Update Date | 2023-10-31 |