NPI | 1760131106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A22002) |
Enumeration Date | 2022-03-22 |
Last Update Date | 2025-07-23 |