| NPI | 1649013319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: CO TL0010525) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |