NPI | 1669091658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.148541) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2024-07-02 |