NPI | 1679715635 |
---|---|
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: MD D0073870) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2021-12-20 |