NPI | 1699099325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-16329) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD60455921) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-03-24 |
Last Update Date | 2025-03-17 |