NPI | 1588890693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 14275) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094467) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094467) | |
Enumeration Date | 2009-06-03 |
Last Update Date | 2012-07-02 |