NPI | 1346780228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 16436) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 67084) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-02-27 |
Last Update Date | 2020-06-17 |