NPI | 1508326745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-157973) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006597A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2022-12-22 |