NPI | 1538556006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81259) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 23347) |
207P00000X Emergency Medicine (Licence: TX R0980) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10053104) | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2023-02-02 |