NPI | 1487898524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-1358) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207P00000X Emergency Medicine (Licence: IL 036.129070) | |
Enumeration Date | 2009-04-20 |
Last Update Date | 2024-07-09 |