NPI | 1386083244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SD 9920) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301103689) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301103689) | |
Enumeration Date | 2013-06-24 |
Last Update Date | 2016-07-22 |