NPI | 1700249273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD22270) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME EC161050) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2018-07-12 |