| NPI | 1437326345 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301113761) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD037280) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2018-03-30 |