| NPI | 1326538513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A173429) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351042659) |
| 207P00000X Emergency Medicine (Licence: MI 4351042659) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2022-08-04 |