| NPI | 1467773556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0070193) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q2491) |
| 207P00000X Emergency Medicine (Licence: NE 893) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0070193) | |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2023-10-31 |