NPI | 1396322970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2024-01417) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125078936) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-28 |
Last Update Date | 2024-06-24 |