| NPI | 1396276226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME144279) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 313807) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2023-01-18 |