NPI | 1720641665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.161718) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01091351A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-16 |
Last Update Date | 2023-08-15 |