NPI | 1588046999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME152121) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.130953) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2024-01-27 |