NPI | 1497248728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 149661) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-54926) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2025-08-27 |