NPI | 1750744009 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 298403-1) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 298403) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2021-08-05 |