NPI | 1518480987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL me144119) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN24718) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2020-07-27 |