NPI | 1477795391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 063625) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 265231) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-03-25 |
Last Update Date | 2019-06-25 |