NPI | 1649620824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101022713) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5101022713) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2021-12-20 |