| NPI | 1710449715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.015708) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 34.015708) |
| 207P00000X Emergency Medicine (Licence: IN 02007289A) | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-05-17 |