NPI | 1457613119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A 12981) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 006134) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-08 |
Last Update Date | 2021-11-30 |