| NPI | 1376172700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 328550) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2024-05-24 |