| NPI | 1750644266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD475821) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125062012) |
| 207P00000X Emergency Medicine (Licence: CA A141630) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2023-02-27 |