| NPI | 1467959312 |
|---|---|
| Former Name | JORDAN ROBERT YOUNG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD204398) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR PG201350) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2021-06-14 |