NPI | 1346680691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 279159-1) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 05456) |
207P00000X Emergency Medicine (Licence: FL OS12819) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-07-01 |
Last Update Date | 2023-11-21 |