| NPI | 1457845190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-24142-0) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A177003) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2024-06-28 |