NPI | 1477181568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-1827) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV DO3270) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2023-08-24 |