NPI | 1427554914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 265883) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208D00000X General Practice (Licence: NC 265883) | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2023-06-03 |