NPI | 1396163713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R1851) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.208113) |
207P00000X Emergency Medicine (Licence: WA MD61005220) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-02 |
Last Update Date | 2023-03-27 |