| NPI | 1407554876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 1407554876) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R4362) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2025-08-01 |