NPI | 1740637446 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-02402) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.013250) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 34.013250) | |
Enumeration Date | 2016-05-23 |
Last Update Date | 2023-01-26 |