| NPI | 1699065227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0057549) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: NY 271467) | |
| 207P00000X Emergency Medicine (Licence: AZ 55191) | |
| 207P00000X Emergency Medicine (Licence: CA A136336) | |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2024-06-11 |