| NPI | 1518352707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC DO83090) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC DO83090) |
| 207P00000X Emergency Medicine (Licence: PA Os020304) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-09-25 |