| NPI | 1528420304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005643A) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-06-25 |