| NPI | 1750657649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME125002) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A153670) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2024-08-14 |