NPI | 1316444326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0016244) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 317310) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2022-09-06 |