NPI | 1669059127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 92179) |
Additional Taxonomies | 208D00000X General Practice (Licence: KY 58558) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-06-19 |