NPI | 1710182092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 64787-20) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A130775) |
208D00000X General Practice (Licence: IN 01065555A) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2022-07-21 |