NPI | 1548671829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036143954) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105245) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301105245) | |
Enumeration Date | 2014-05-08 |
Last Update Date | 2018-01-23 |