NPI | 1649699810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R1653) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-9894) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2018-03-17 |