NPI | 1588161277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T3044) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.014406) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-09 |
Last Update Date | 2022-02-08 |