| NPI | 1336362953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 0435052) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-35052) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2024-01-30 |