NPI | 1649698150 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS019911) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA OS019911) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2019-06-20 |