| NPI | 1679739965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 59869-20) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125054336) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2021-01-22 |