NPI | 1508495425 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0096573) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 57.249559) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.249559) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-02 |
Last Update Date | 2024-01-31 |