| NPI | 1457190043 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.087538) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2026-05-27 |