NPI | 1467184689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 171667) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN35912) |
Enumeration Date | 2022-06-27 |
Last Update Date | 2025-08-01 |