NPI | 1518372416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61108167) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD.MD.6108167) |
207P00000X Emergency Medicine (Licence: CA A150375) | |
207P00000X Emergency Medicine (Licence: WA MD61108167) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-30 |
Last Update Date | 2024-02-27 |