NPI | 1336439678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.122064) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01075210A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-07 |
Last Update Date | 2017-06-16 |