NPI | 1467949453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T4336) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2020-03444) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2022-08-18 |