| NPI | 1487001368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01085568A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.132738) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-06-05 |