| NPI | 1376246058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 339446) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD.MD.70088072) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2026-06-19 |